Wellstar Roosevelt Long Term Acute Care at Warm Springs
6135 Roosevelt Highway, P O Box 280, GA · Wellstar Health System · · NPI 1427468362
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $220.74 | $566.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $232.83 | $597.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $481.65 | $1,235.00 | not published | 0 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,856.01 | $4,759.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $5,370.69 | $13,771.00 | not published | 0 |
| Img rta detcj/mntr ds staff CPT 92227 | $76.05 | $195.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $33.10 | $84.87 | not published | 0 |
| Immune complex assay CPT 86332 | $238.29 | $611.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $140.79 | $361.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $140.01 | $359.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $121.68 | $312.00 | not published | 0 |
| Immunodiffusion nes CPT 86329 | $63.57 | $163.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $133.38 | $342.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $154.05 | $395.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $321.36 | $824.00 | not published | 0 |
| Immunoglobulin assay CPT 86023 | $169.26 | $434.00 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,655.47 | $4,244.79 | not published | 0 |
| Implant biventricular device 33976 CPT 33976 | $5,053.23 | $12,957.00 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $188,363.27 | $482,982.75 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $20,236.19 | $51,887.66 | not published | 0 |
| Implant hormone pellet(s) 11980 CPT 11980 | $244.14 | $626.00 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $382.20 | $980.00 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $4,518.54 | $11,586.00 | not published | 0 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $8,391.88 | $21,517.65 | not published | 0 |
| Implant pulse generator remede el HCPCS C1823 | $65,976.59 | $169,170.75 | not published | 0 |
| Implant single ventricular device 33975 CPT 33975 | $5,053.23 | $12,957.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $2,168.00 | $5,558.98 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $5,492.46 | $14,083.24 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $9,060.48 | $23,232.00 | not published | 0 |
| Implt neurostim elctr each HCPCS L8680 | $3,535.57 | $9,065.56 | not published | 0 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,785.34 | $9,706.00 | not published | 0 |
| In-111 capromab pendet HCPCS A9507 | $3,941.34 | $10,106.00 | not published | 0 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,671.54 | $4,286.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,811.16 | $4,644.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $4,194.84 | $10,756.00 | not published | 0 |
| In-111 satumomab pend HCPCS A4642 | $5,837.52 | $14,968.00 | not published | 0 |
| Incise inner ear CPT 69801 | $3,004.17 | $7,703.00 | not published | 0 |
| Incise spine nrv >2 segmnts CPT 63190 | $11,780.73 | $30,207.00 | not published | 0 |
| Incise spine nrv half segmnt CPT 63185 | $8,787.48 | $22,532.00 | not published | 0 |
| Incise tear duct opening 68440 CPT 68440 | $2,454.27 | $6,293.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $7,053.54 | $18,086.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $1,903.59 | $4,881.00 | not published | 0 |
| Incision of eardrum CPT 69420 | $615.42 | $1,578.00 | not published | 0 |
| Incision of foot fascia CPT 28008 | $8,303.49 | $21,291.00 | not published | 0 |
| Incision of tongue fold CPT 41010 | $4,048.98 | $10,382.00 | not published | 0 |
| Incision of urethra CPT 53020 | $3,996.72 | $10,248.00 | not published | 0 |
| Incisn of toe tndn CPT 28010 | $1,959.75 | $5,025.00 | not published | 0 |
| Incisn windpipe CPT 31600 | $6,156.93 | $15,787.00 | not published | 0 |
| Induction of vomiting CPT 99175 | $170.43 | $437.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $436.41 | $1,119.00 | not published | 0 |
| Infect ag eia influenza a or b ea CPT 87400 | $106.47 | $273.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $533.91 | $1,369.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $521.43 | $1,337.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $793.65 | $2,035.00 | not published | 0 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $95.55 | $245.00 | not published | 0 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $109.20 | $280.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $72.93 | $187.00 | not published | 0 |
| Infect ag if hep delta agent CPT 87380 | $125.97 | $323.00 | not published | 0 |
| Infect ag if influenza a CPT 87276 | $62.79 | $161.00 | not published | 0 |
| Infect ag if influenza b CPT 87275 | $62.79 | $161.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $129.09 | $331.00 | not published | 0 |
| Infect ag if nos ea CPT 87299 | $78.00 | $200.00 | not published | 0 |
| Infect ag if pneumocystis carinii CPT 87281 | $50.03 | $128.28 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $274.56 | $704.00 | not published | 0 |
| Infect ag na hep b amp CPT 87516 | $222.30 | $570.00 | not published | 0 |
| Infect ag na herpes simplex quant CPT 87530 | $263.25 | $675.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $187.98 | $482.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $283.53 | $727.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $399.75 | $1,025.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,081.47 | $2,773.00 | not published | 0 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $714.67 | $1,832.48 | not published | 0 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $47.07 | $120.68 | not published | 0 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $171.99 | $441.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $139.23 | $357.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $242.58 | $622.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $188.76 | $484.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $342.81 | $879.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $427.05 | $1,095.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $75.27 | $193.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $113.10 | $290.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $132.60 | $340.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $138.84 | $356.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $166.92 | $428.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $399.75 | $1,025.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $137.67 | $353.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $230.88 | $592.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $349.83 | $897.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $400.14 | $1,026.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $173.16 | $444.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $417.69 | $1,071.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $137.67 | $353.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $109.69 | $281.25 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $171.99 | $441.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $171.99 | $441.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $243.75 | $625.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $236.73 | $607.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $621.77 | $1,594.27 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $527.67 | $1,353.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $349.83 | $897.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $631.02 | $1,618.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.